Hardern R D, Hamer D W
General Infirmary, Leeds.
J Accid Emerg Med. 1996 May;13(3):169-72. doi: 10.1136/emj.13.3.169.
To determine whether reviews published in the past 10 years are as helpful as they could be to their readers, and to explain why future reviews should meet certain methodological criteria.
The quality of 16 reviews published in two journals dealing with accident and emergency medicine over 10 years was objectively assessed using 11 currently recommended criteria.
The median number of methodological criteria satisfied was two. Only five of the reviews posed a specific question or problem and then answered this with conclusions based on evidence presented.
If reviews are to enhance patient care, the way in which they are performed, written and used must change.
确定过去10年发表的综述对读者的帮助是否达到应有的程度,并解释为何未来的综述应符合某些方法学标准。
使用11条目前推荐的标准,对在两本处理急诊医学的期刊上10年间发表的16篇综述的质量进行客观评估。
符合方法学标准的中位数为两条。只有5篇综述提出了具体问题,然后根据所提供的证据得出结论进行回答。
如果综述要改善患者护理,那么其开展、撰写和使用的方式必须改变。